Organization Active NPI

S&L Healthcare PLLC

  • Family Medicine Physician
  • Bellevue, WA
National Provider Identifier
1013082601
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD40676 Issued in WA
Legal business name
S&L HEALTHCARE PLLC
Practice address
1601 116TH Ave NE
Suite 111
Bellevue, WA 98004-3010
Phone
(425) 467-1314
Fax
(425) 458-3102
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Justin Lee
Title
Managing Member
Phone
(425) 467-1314

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH3312 WA
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X MD40676 WA Primary

Addresses

Primary practice location

1601 116TH Ave NE
Suite 111
Bellevue, WA 98004-3010

Mailing address

1601 116TH Ave NE
Suite 111
Bellevue, WA 98004-3010
Phone (425) 467-1314

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1013082601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 116TH AVE NE",
            "address_2": "SUITE 111",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043010",
            "telephone_number": "425-467-1314",
            "fax_number": "425-458-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 116TH AVE NE",
            "address_2": "SUITE 111",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043010",
            "telephone_number": "425-467-1314",
            "fax_number": "425-458-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S&L HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "425-467-1314"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH3312",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD40676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.